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Appendix IV.
Duties of the Clerks and Sanitary Inspectors re Infectious
Diseases.
1. On receipt of notification of an infectious disease, the case is to
be entered by the responsible Clerk in the proper register.
2. The Clerk will also arrange for removal to Hospital of such cases
as are received by the Asylums Board, and whose removal is desired.
3. The Inspector of the district, or any other Inspector available,
will take a copy of the certificate to the home, and find out if removal is
desired.
4. The Inspector will at the same time obtain full particulars as to
the patient, family, house, and source of infection, on the special form
provided, and at once give them to the Clerk for entry in the register.
5. In such cases as are removed to Hospital, the Clerk will see that
the necessary directions are at once given for disinfection.
6. The responsible Clerk will send copies of the notification certificate
to the Asylums Board, to the Head Teachers of the Schools affected, and
to the P.M.O. of the Royal Arsenal, when Arsenal Employees live in the
home of the patient.
7. As soon as intimation is received from the Isolation Hospital as
to the return of a patient, the Clerk will send a copy of instructions as to
precautions to be taken with respect to children returning from Hospital.
He will also send word to the Head Teacher of the School affected, stating
that the child may return to school a fortnight after return from Hospital.
8. When patients are not removed to hospital, disinfection will not
be performed until a certificate has been received from the medical
practitioner in attendance that the patient is free from infection. After
such certificate has been received, the Clerk will intimate to the Head
Teacher of any school affected that the child may return a fortnight after
disinfection has been performed.
9. Sanitary inspectors should insist on removal to Hospital of all
such patients as cannot be properly isolated at their own homes. But
whenever it is considered that effectual isolation can be obtained at home,
and where the number of people in the house does not exceed the number
of rooms, and the cleanliness and sanitary conditions are in all respects
satisfactory, the Inspector should encourage home isolation, and the
Medical Officer of Health will give a certificate to any Arsenal employee
living in the house, for the P.M.O. of the Arsenal, that the patient can be
effectually isolated at home; the employee will then be allowed to attend
his work.
10. Special forms for information to be obtained are provided for
the following diseases :—
(1) Scarlet Fever and Diphtheria;
(2) Enteric Fever;
(3) Puerperal Fever;
(4) Small Pox.
SIDNEY DAVIES,
Medical Officer of Health.
8th April, 1905.